Senior Care Insurance

Brokers and managers & owners of senior care facilities can rest easy at night when they “Think McGowan.”

Senior care facilities, whether they’re skilled nursing, assisted living, dementia care, independent living, home health care or life plan communities, face numerous risks regularly. Due to the nature of the business and the role that these facilities play in the lives of the elderly, having the right protections in place in case something goes wrong is crucial.

Product Overview

Eligible Classes:

  • Senior Care Facilities
  • Skilled Nursing
  • Assisted Living
  • Dementia Care
  • Independent Living
  • Home Health Care
  • Life Plan Communities (fka CCRCs)

Products/Limits:
Primary Medical Professional and
General Liability: $1MM/$3MM

Carrier: “A+” XV Rated Carriers / Non-Admitted Paper

Territory: All 50 States

Special Features & Coverages

• Defense Costs Inside or Outside the Limits
• Separate PL/GL/EBL Towers
• Medical Directors Covered for Administrative Acts
• Sexual Abuse Liability
• Evacuation, HIPPA, Data Breach

COVERAGES
• HNOA Liability
• Employers Liability
• Employee Benefits Liability

Partnering with McGowan

Not all insurance brokers are familiar with the nuances of senior care facilities. Thankfully, brokers who partner with McGowan gain access to an experienced team of professionals who understand the risks and what’s needed to protect these facilities.  McGowan’s “Power of the Pen” offers uniquely tailored policies with primary medical and general liability limits between $1 million and $3 million. However, higher limits are available upon request. With coverages available nationwide, managers and owners of senior care facilities can rest easy at night when they think McGowan.

Download: Senior Care Insurance Brochure

Download: Senior Care Insurance Application
Check Out Our Senior Care Resource Page

Clearance Requirements

We will require a minimal amount of underwriting information for clearance of submissions. The Senior Care team will then review the initial submission to determine if enough underwriting information was received to offer a premium indication.  If we do not have the prerequisite information required for a premium indication, our team will contact the submitting agent to work to get the required documents.

  1. A completed Senior Care application, Acord(s) and supplemental(s) – will be required (competitor application is acceptable)
  2. 5 years of carrier loss runs valued within 150-days of effective date.

Note: Submissions should be sent directly to seniorcare@mcgowanprograms.com in order to be acknowledged. No submission will be cleared more than 120-days in advance of the effective date, and no midterm submissions will be accepted unless previously approved by the Underwriter.

Document Checklist:

  1. STATE SURVEYS:  Prior 2 years with all deficiencies, complaint surveys, and Corrective Action Plans
  2. RESUMES:  Resumes for Administrator and Director of Nursing (DON)
  3. CENSUS/STAFFING:  Current CMS Forms 671 Facility Staffing & 672 Resident Census
  4. WOUND PROTOCOL:  Copy of facility’s formal skin/wound protocol
  5. QUALITY INDICATORS:  Quality Indicator Report for two (2) six month periods

Quote Requirements

Senior Care underwriters will provide a premium indication on an account with sufficient documentation including but not limited to the following:

Quoting-Requirements 1 & 2 above plus

  1. Valid and current State license
  2. Claims with Incurred values exceeding $50,000 will have a summary explanation
  3. Most recent year-end financial statements
  4. Online or print marketing materials
  5. Copy of expiring carrier’s Declarations page

Bind Requirements

The following items are required in order to bind coverage:

  1. A written request to bind on or before the effective date
  2. Five years of carrier loss runs,  currently-valued (valued within 90-days of effective date)

Contact: Paul Marshall


Crittenden Report - MPA Senior Care Insurance Division

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